Economics By Design brings the combined disciplines of economics and design to provide an evidenced and value-based perspective to challenging population health issues, to power improvement across the health and care system.

Virtual International Expert Network

If you are a health innovator, health economics will be able to help with your journey. We offer advisory or project-based engagements.

If you are a health professional and need health economic and value based support we offer advisory, project direction/management and subject matter expertise.


Case Studies

World Health Organisation, Sudan


Projects: The design of an Essential Health Benefits Package for Sudan and the development of Provider Payment Mechanisms to deliver the Essential Benefits Package in Sudan.

These two key projects were commissioned by the European Union and World Health Organisation, to support the Government of Sudan on its journey towards Universal Healthcare. The two projects represent linked components of a new system involving a separation of the role of payer and provider. The full reports, together with an overview of the new health care system in Sudan is provided on the website below. 

Health Education England


Project: Economic Evaluation of the Extended Surgical Team Pilots & Development of ROI Tool

Economics by Design was commissioned to undertake an economic evaluation of a new workforce model to support improvements to surgical training and service delivery. We developed the value proposition for the new models and evaluated pilots in Manchester and Chester. Together with Health Economics Consulting Group, University of East Anglia, we developed a return-on-investment tool for NHS trusts to demonstrate the value of this workforce model in their local context. Further information on the findings, including the results of the evaluation, can be found on the link below. The ROI tool and user guide can be found here (link to other page).



Project: Economic Evaluation of the National CLEAR Programme

Economics by Design and RREAL UCL collaborated on a formative evaluation of the National Clinically-Led workforcE and Activity Redesign (CLEAR) Programme. Sponsored by Health Education England, the programme is hosted by East Lancashire NHS Trust and delivered by 33n, a team of NHS clinicians, data engineers and scientists who are united in their passion to improve services, address workforce challenges and enhance patient care. We worked with the team to develop the value proposition and designed a cost-consequence analysis to demonstrate the financial and non-financial economic impact of CLEAR. Further information on the evaluation can be found in the link below.

Health Workforce Economics Blog

Our philosophy is based on building long-standing relationships, by listening, collaborating, building capability, and helping our clients make relevant global connections so as to learn from the best experience.

How We Can Help

Value Proposition Support


Digital Health

Health System Design

Health Financing

Strategic Purchasing

Population Health Management

Integrated Care

Workforce Transformation

Who We Are

In addition to our virtual international expert network our core team is:

Jacque Mallender

Jacque is a respected international health and public policy economist. She helps stakeholders to identify and demonstrate their value, and the value of their ideas for improving health and care. She has directed and delivered many engagements in the UK, Europe, the Middle East, North America and Africa.

Her particular focus is on the economics of health systems, health financing, strategic purchasing, population health management, integrated care, health workforce transformation and digital health. Jacque also designs and delivers health system economics training for health professionals. She delivers the annual health economics workshop on the Management in Medicine Programme for Green Templeton College, Oxford University.

Jacque is a consultant with the World Bank Group, an Executive Committee member of the Economic Research Council, and she also sits on the Advisory Board for the Nottingham University School of Economics. Jacque was a founding convenor of the joint Campbell and Cochrane Economics Methods Group. Further information on Jacque’s research and publications can be found here:

LinkedIn Jacque Mallender

Joe Mallender

Joe is an experienced designer working in health and public policy. He uses conceptual and visual design skills to help stakeholders find solutions to complex problems and narratives. Joe has national and international experience in Europe, North America, the Middle East and Africa.

He has supported the design of national and local health care system transformation strategies, new health financing and payment models, value-based care delivery pathways, health workforce transformation, and the value proposition of digital health solutions.

Joe also designs and supports health system economics training for health professionals. He also uses his skills to support the delivery of training for health professionals and associated content management and publishing.

Adrian Mallender

Adrian has over 30 years of hands-on experience of working with individuals living complex lives as both a volunteer and as an employee, delivering services, and coordinating volunteers on behalf of third-sector organisations.

He has worked in the UK and internationally in the health and criminal justice sectors with a focus on disability, gender-based violence, safeguarding for vulnerable adults, offender rehabilitation, and supporting people with complex health and social care needs.

At Economics by Design, Adrian leads our engagement work with service users and volunteers.

Economics By Design was founded by Jacque, Adrian & Joe Mallender in May 2019.